National Insurance Mediclaim Policy is designed to offer financial comfort to the insured at the time of a medical emergency. It looks after in-patient hospitalization (minimum 24 hours) expenses and 140+ day care procedures on a reimbursement/cashless basis. With this policy, you can be rest assured that your medical expenses are well-cared after.
|Entry age||18-65 years|
|Sum insured||Rs.1-10 lakhs|
|Policy period||1 year|
|Pre & post-hospitalisation||45 & 60 days|
|Pandemic discount||5% off on total premiums|
|Genetic disorders, HIV/AIDS & Mental illness||Coverage provided|
|Pre-existing diseases||Coverage after 48 months|
**Last Updated on 28-01-2021
National Mediclaim Policy comes with a lot of useful benefits, which the insured person can avail of to tackle a medical emergency. Let's take a look at it.
Expenses incurred against room rent/ICU charges, medical practitioner, anesthetist, surgeon's fees, etc. are looked after by the policy up to the specified limits.
To offer a complete package, the policy covers the expenses of 12 treatments like immunotherapies, oral chemotherapies, robotic surgery, among others.
If the insured person wishes to avail of treatment under Allopathy, Ayurveda, and Homeopathy, the plan will cover its expenses (up to 100% of SI).
If a situation arises when the insured needs to be taken to the hospital via an ambulance, its expenses will be covered (up to 1% of SI, maximum Rs.2000) under the policy.
Sum Insured Reinstatement
If the insured person (having SI of 6 lakhs & above) finishes off his SI on account of hospitalization claims, the company is liable to reinstate his base SI (according to its conditions).
If the insured person doesn't claim in 4 continuous policy years, the policy will pay for his health-check-up/prescribed diagnostic tests (up to 1% of average basic SI, maximum Rs.5000).
The company grants a discount on choosing co-pay options. On 20% co-payment, 15% off is given on the total premium. And on 15% co-payment, 10% off is given on total premium.
In the case of every claim-free year, the insured can earn a cumulative bonus of 5% of the basic SI of the expiring policy.
The policy covers the treatment expenses of certain illnesses like morbid obesity and correction of eyesight (refractive errors above -7.5 D) after their waiting period is over.
Manik, a 32-year old interior designer, has a family history of mental illness. He has seen first-hand how his mother suffered from mental illness, both physically and financially. To save his savings, he decides to purchase National Mediclaim Policy.
After 4 years, Manik's wife starts to notice symptoms of mental illness and advises him to go for a medical check-up. When the results are out, Manik is diagnosed with the 1st stage of mental illness and has to go through regular treatment. With the support of the National Mediclaim Policy, Manik's family doesn't have to worry about medical expenses and Manik can get the best treatment at hand.
Though National Mediclaim Policy promises comprehensive coverage, there are a few conditions/situations that it doesn't cover. Let's learn about them.
Non-prescription drugsHome visit chargesSelf-inflicted injuryChange of gender treatmentPlastic surgeryDental treatment (unless arising out of an accident and requiring hospitalization)
To know more about them, please check the policy brochure.
Thanks to the easy navigation and user interface of the National Insurance's website, you can buy this policy from it in no time. Let's learn about its buying process.
Visit the official website of National Insurance.
Go to 'Products->Health->Know More'.
Choose 'National Mediclaim Policy' and tap on 'View Policy Details'.
Scroll down and tap on 'Buy Policy Online'.
Enter your 'Customer Id' and Password' to check the policy premium.
Pay the premium online and the soft copy of the policy will be sent to your registered email address.
National Insurance advises its customers to follow the below-listed process for successful claims. Let's check it out.
1. If I wish to buy this policy, do I need to undergo a pre-policy medical test?
Individuals aged 50 years & above have to undergo a medical check-up.
2. Does the National Mediclaim Policy offer a portability feature?
As per the IRDAI guidelines, portability is allowed to/from similar products.
3. Does National Insurance offer a discount for buying Mediclaim Policy online?
Yes, a 10% discount is available.
4. How can I renew National Mediclaim Policy?
Just follow the below-process:
Last updated on 28-01-2021